A personal reflection on health: 20 years on.

This article looks back to the origins of health: from the perspective of its Founding Editor. Reviewing the journal's original statement of aims, the terms 'refraction' and 'moment' are selected to provide a brief discussion of health and illness as defining the journal's continuing focus.

Home as a hybrid centre of medication practice.

This article presents research that explores how medications are understood and used by people in everyday life. An intensive process of data collection from 55 households was used in this research, which included photo-elicitation and diary-elicitation interviews. It is argued that households are at the very centre of complex networks of therapeutic advice and practice and can usefully be seen as hybrid centres of medication practice, where a plethora of available medications is assimilated and different forms of knowledge and expertise are made sense of. Dominant therapeutic frameworks are tactically manipulated in households in order for medication practices to align with the understandings, resources and practicalities of households. Understanding the home as a centre of medication practice decentralises the role of health advisors (whether mainstream or alternative) in wellness practices.

"Near and far": social distancing in domiciled characterisations of homeless people.

For domiciled individuals, homeless people provide a disturbing reminder that all is not right with the world. Reactions to seeing homeless people frequently encompass repulsion, discomfort, sympathy and sometimes futility. This paper considers domiciled constructions of homeless people drawn from interviews with 16 participants recruited in the central business district of a New Zealand city. It documents how, when trying to make sense of this complex social problem, domiciled people draw on shared characterizations of homeless people. The concept of "social distance" is used to interrogate the shifting and sometimes incongruous reactions evident in participant accounts. "Social distancing" is conceptualised as a dynamic communal practice existing in interactions between human beings and reflected in the ways that domiciled people talk about their experiences with homeless individuals.

Emplacement and everyday use of medications in domestic dwellings.

To extend knowledge of relationships between people and domestic settings in the context of medication use, we conducted fieldwork in twenty households in New Zealand. These households contained a range of 'medicative' forms, including prescription drugs, traditional remedies, dietary supplements and enhanced foods. The location and use of these substances within domestic dwellings speaks to processes of emplacement and identity in the creation of spaces for care. Our analysis contributes to current understandings of the ways in which objects from 'outside' the home come to be woven into relationships, identities and meanings 'inside' the home. We demonstrate that, as well as being pharmacological objects, medications are complex, socially embedded objects with histories and memories that are ingrained within contemporary relationships of care and home-making practices.

The mobile hermit and the city: considering links between places, objects, and identities in social psychological research on homelessness.

This article explores aspects of a homeless man's everyday life and his use of material objects to maintain a sense of place in the city. We are interested in the complex functions of walking, listening and reading as social practices central to how this man forges a life as a mobile hermit across physical and imagined locales. This highlights connections between physical place, use of material objects, imagination, and sense of self. Our analysis illustrates the value of paying attention to geographical locations and objects in social psychological research on homelessness.

Time, space and opportunity in the outpatient consultation: 'the doctor's story'.

Using excerpts from videotaped consultations of physicians meeting with Inflammatory Bowel Disease (IBD) patients in a UK hospital, this article pays attention to biographic or narrative time over the course of three consultations. On the basis of this approach an important role emerges for what we term proto-stories that doctors may tell to their patients. This shift from patients' to doctors' stories is linked to visual evidence regarding the embodiment of doctor and patient. Taken together, these topics indicate differences in the way that space and time are constructed in the consultation, and with that the possibilities that arise for action and understanding. By examining what patients say about their treatment in interviews before and after the consultation, we develop a conceptual analysis in which the dominant medico-scientific regime (the 'voice of medicine' [Mishler, E. G. (1984). The discourse of medicine: Dialectics of medical interviews. Norwood, NJ: Ablex]) is compared to what we call the medico-presentational way of signifying. This enables proposals to be made about how these two regimes of representation operate together to facilitate treatment or, where they are separated, how this can lead to what patients see as an unsatisfactory outcome.

Health inequalities and homelessness: considering material, spatial and relational dimensions.

Homelessness is a pressing health concern involving material hardship, social marginalization and restrained relationships between homeless and housed people. This article links relational aspects of homelessness, and its health consequences, with material and spatial considerations through the use of photo-elicitation interviews with 12 rough sleepers in London. We highlight the relevance of embodied deprivation for a health psychology that is responsive to the ways in which social inequalities can get under the skin of homeless people and manifest as health disparities.

Artworks, collective experience and claims for social justice: the case of women living with breast cancer.

This article discusses the role of 'artworks' produced by women with breast cancer in the context of breast cancer activism. We argue that such works play a key role in making visible and collective the ideological issues surrounding this disease. They do this through their potential for anchoring social practices relating to its treatment and what might be done about it (Klawiter 2004, Swidler 2001). The article focuses upon the work of two women artists diagnosed with breast cancer--the British photographer Jo Spence, and Martha Hall, an American who made artist's books. We examine specific works from these collections, and the context of their production. In this way we show how and why artworks are important in establishing visual and discursive space related to social practices associated with disease regimes, and how they provide emancipatory potential for women living with breast cancer. We argue that artworks work through and on bodies to enable a redemptive and emancipatory potential. As mediators of representations of illness, they deserve attention from sociologists researching social movements, the sharing of illness experience and strategies for survival.

The making of health:: a reflection on the first 10 years in the life of a journal.

This introduction to the Tenth Anniversary Issue surveys articles that have been published in health: since its launch. Reviewing the original aims of the journal, the editors discuss some of the main issues that authors have raised, both about health and illness. Focusing upon articles that have been published in this particular journal, we discuss the way that new medical technologies--particularly global ones--have shaped ideas about disease and its treatment, and in consequence about what 'good health' should be. Related to the growth in medical and other technology--not least the rise of the Internet during the life of this journal--is the number of articles that discuss the rights of patients and the establishment of what might be termed an 'illness culture'. We conclude that there continues to be more to health than it being the background to illness or disease, and ask the question: should the 'taken for grantedness' of health be taken for granted any longer?

Pity, modernity and the spectacle of suffering.

The concept of dignity is often invoked in relation to ideas about a "good" death and, indeed, a "good" life. In this article, I discuss the question of dignity in relation to the rights of the individual in the modern world. This world is one where the relationship of individuals to society is contested in the context of medicine, with all its technologies of treatment and uncertainties of prognosis. For patients who criticize or oppose medicine in order to recover their dignity, it is necessary to articulate or to portray their suffering. In this way, they are able to show not only that they live in spite of illness, but that they also live by virtue of it. From this perspective, dignity is shown to be part of a collective response to a medicalized world in which ideas about illness and health are also being transformed.

Images of recovery: a photo-elicitation study on the hospital ward.

The authors attempted to discover the part the physical setting of the ward plays in patients' recovery by asking patients to take photographs of their ward, its spaces and objects, and then interviewing them about these images in hospital and subsequently in their homes. Photography allowed the patients to identify and capture aspects of the setting that they found salient and provided the photo-elicitation material for the interviews. Based on these data, the authors present (a) a critical discussion of the use of photography as method and its implications for qualitative analysis, (b) an overview of the kinds of image taken with respect to the ward and the course of patients' recovery, and (c) a theoretical analysis, employing Walter Benjamin's use of the concept of mimesis, that understands recovery as a bodily act in response to the shock to the senses that hospitalization and surgery produce.